Mcleod, Jill Braddy
Mcleod, Jill Braddy is an individual health care provider with primary practice located at 115 N Sumter St Ste 200 , Sumter SC 29150-4968. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mcleod, Jill Braddy can be contacted via phone (803) 775-8351.Contact Information
Primary practice address
115 N Sumter St Ste 200
Sumter SC 29150-4968
Phone: (803) 775-8351
Fax: (803) 774-1512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | LL32635 | South Carolina |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 32635 | South Carolina |
Profile Details
| NPI number | 1861704082 |
|---|---|
| LBN Legal business name | Mcleod, Jill Braddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2010 |
| Last updated | Dec 4th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861704082 | NPPES |
| South Carolina | MEDICAID | 326356 |
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